<form id="add-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-name" class="form-control" name="row[name]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Code')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-code" class="form-control" name="row[code]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Mobile')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-mobile" class="form-control" name="row[mobile]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Nickname')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-nickname" class="form-control" name="row[nickname]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Gender')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-gender" class="form-control" name="row[gender]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Birthday')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-birthday" class="form-control" name="row[birthday]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Age')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-age" class="form-control" name="row[age]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Idcode')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-idcode" class="form-control" name="row[idcode]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Jointime')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-jointime" class="form-control datetimepicker" data-date-format="YYYY-MM-DD HH:mm:ss" data-use-current="true" name="row[jointime]" type="text" value="{:date('Y-m-d H:i:s')}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Identity')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-identity" class="form-control" name="row[identity]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Viptime')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-viptime" class="form-control datetimepicker" data-date-format="YYYY-MM-DD HH:mm:ss" data-use-current="true" name="row[viptime]" type="text" value="{:date('Y-m-d H:i:s')}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Shop')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-shop" class="form-control" name="row[shop]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Marketing')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-marketing" class="form-control" name="row[marketing]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Source')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-source" class="form-control" name="row[source]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Promoter')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-promoter" class="form-control" name="row[promoter]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Promotermobile')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-promotermobile" class="form-control" name="row[promotermobile]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Bindingtime')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-bindingtime" class="form-control datetimepicker" data-date-format="YYYY-MM-DD HH:mm:ss" data-use-current="true" name="row[bindingtime]" type="text" value="{:date('Y-m-d H:i:s')}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Customerlabel')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-customerlabel" class="form-control" name="row[customerlabel]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Notes')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-notes" class="form-control" name="row[notes]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Firstconsumetime')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-firstconsumetime" class="form-control datetimepicker" data-date-format="YYYY-MM-DD HH:mm:ss" data-use-current="true" name="row[firstconsumetime]" type="text" value="{:date('Y-m-d H:i:s')}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Lastconsumetime')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-lastconsumetime" class="form-control datetimepicker" data-date-format="YYYY-MM-DD HH:mm:ss" data-use-current="true" name="row[lastconsumetime]" type="text" value="{:date('Y-m-d H:i:s')}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Totalconsumetimes')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-totalconsumetimes" class="form-control" name="row[totalconsumetimes]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Totalconsumeamount')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-totalconsumeamount" class="form-control" name="row[totalconsumeamount]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Unitprice')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-unitprice" class="form-control" name="row[unitprice]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Score')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-score" class="form-control" name="row[score]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Itemnumber')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-itemnumber" class="form-control" name="row[itemnumber]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Leftamount')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-leftamount" class="form-control" name="row[leftamount]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Leftgiftamount')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-leftgiftamount" class="form-control" name="row[leftgiftamount]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Secondaryleftamount')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-Secondaryleftamount" class="form-control" name="row[Secondaryleftamount]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Secondarylefttimes')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-Secondarylefttimes" class="form-control" name="row[Secondarylefttimes]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Secondaryleftgifttimes')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-Secondaryleftgifttimes" class="form-control" name="row[Secondaryleftgifttimes]" type="text" value="">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-primary btn-embossed disabled">{:__('OK')}</button>
        </div>
    </div>
</form>
